http://hl7.org/fhir/StructureDefinition/MedicationStatement|4.0.1

A record of a medication that is being consumed by a patient. A MedicationStatement may indicate that the patient may be taking the medication now or has taken the medication in the past or will be taking the medication in the future. The source of this information can be the patient, significant other (such as a family member or spouse), or a clinician. A common scenario where this information is captured is during the history taking process during a patient visit or stay. The medication information may come from sources such as the patient's memory, from a prescription bottle, or from a list of medications the patient, clinician or other party maintains. \n\nThe primary difference between a medication statement and a medication administration is that the medication administration has complete administration information and is based on actual administration information from the person who administered the medication. A medication statement is often, if not always, less specific. There is no required date/time when the medication was administered, in fact we only know that a source has reported the patient is taking this medication, where details such as time, quantity, or rate or even medication product may be incomplete or missing or less precise. As stated earlier, the medication statement information may come from the patient's memory, from a prescription bottle or from a list of medications the patient, clinician or other party maintains. Medication administration is more formal and is not missing detailed information.
NameFlagsCardTypeDescription & Constraints
MedicationStatement
0..*Record of medication being taken by a patient
 
identifier
Σ
0..*IdentifierExternal identifier
 
basedOn
Σ
0..*ReferenceFulfils plan, proposal or order
 
partOf
Σ
0..*ReferencePart of referenced event
 
status *
?!Σ
1..1codeactive | completed | entered-in-error | intended | stopped | on-hold | unknown | not-taken MedicationStatementStatus (required)
 
statusReason
0..*CodeableConceptReason for current status MedicationStatementStatusReason (example)
 
category
Σ
0..1CodeableConceptType of medication usage MedicationStatementCategory (preferred)
 
medication[x] *
Σ
1..1What medication was taken MedicationCode (example)
 
 
medicationCodeableConcept *
Σ
1..1CodeableConcept MedicationCode (example)
 
 
medicationReference *
Σ
1..1Reference MedicationCode (example)
 
subject *
Σ
1..1ReferenceWho is/was taking the medication
 
context
Σ
0..1ReferenceEncounter / Episode associated with MedicationStatement
 
effective[x]
Σ
0..1The date/time or interval when the medication is/was/will be taken
 
 
effectiveDateTime
Σ
0..1dateTime
 
 
effectivePeriod
Σ
0..1Period
 
dateAsserted
Σ
0..1dateTimeWhen the statement was asserted?
 
informationSource
0..1ReferencePerson or organization that provided the information about the taking of this medication
 
derivedFrom
0..*ReferenceAdditional supporting information
 
reasonCode
0..*CodeableConceptReason for why the medication is being/was taken MedicationReason (example)
 
reasonReference
0..*ReferenceCondition or observation that supports why the medication is being/was taken
 
note
0..*AnnotationFurther information about the statement
 
dosage
0..*DosageDetails of how medication is/was taken or should be taken